HEDIS Quality Analytics Consultant
360 IT Professionals
A leading software development firm in Eden Prairie is seeking a Business Analyst. The role involves driving solutions for Payers and Providers, documenting business requirements, and collaborating with cross-functional teams. Candidates should have over 3 years of experience in business analysis within the software sector, particularly with Payer organizations. This is an opportunity to contribute to impactful projects that enhance healthcare quality. Competitive compensation and benefits offered. #J-18808-Ljbffr
$115.4k - $197.8k
...Accessibility Accomodation for Applicants page. Senior Consultant, Quality & Risk Adjustment Analytics Locations Hybrid Finance Full-Time... ...experience analyzing healthcare performance across Quality, HEDIS, Stars, Risk Adjustment, or closely related health...HEDISFull timeWork experience placementWork at office3 days per week$90.5k - $155.2k
...connected care, where coordinated, quality service is the norm and every... ...feels valued. The Quality Analytics Healthcare Analyst is... ...including performance across STARS, HEDIS, NCQA, and regulatory quality... ...Serve as an analytic consultant by explaining: o Results o...HEDISWork experience placementWork at office3 days per week$134.6k - $230.8k
...everyone. From advanced data analytics and AI to cybersecurity, we use... ...solutions supporting UHC HEDIS Retrospective data processing... ...compliant solutions aligned to Quality measures, NCQA requirements,... ...SQL databases in a research, consulting, or business environment5+ years...HEDISMinimum wageFull timeWork experience placementWork at officeLocal areaRemote work$112.7k - $193.2k
...better for everyone. From advanced data analytics and AI to cybersecurity, we use innovative... ...they result in user-visible outages or data quality issuesYou'll be rewarded and recognized... .../mandates, Payer-Provider relationships, HEDIS, or Member/Patient Risk...HEDISMinimum wageFull timeWork experience placementWork at officeLocal areaRemote work$112.7k - $193.2k
...better for everyone. From advanced data analytics and AI to cybersecurity, we use innovative... ...Analytics Platform supporting Risk Adjustment, Quality Analytics, Chart Targeting, Care... ...Medicare Advantage, ACA, Medicaid, RAF, HCC, HEDIS, Chart Review, Suspecting Analytics, and...HEDISMinimum wageFull timeWork experience placementLocal area$134.6k - $230.8k
...while improving risk management, quality and revenue growth. Ready to... ...of Medicare Advantage Stars consulting services within the Quality &... ...integrating Stars capabilities across HEDIS, Clinical Quality, Risk Adjustment, Pharmacy, and Analytics. The Director drives growth in...HEDISMinimum wageFull timeWork experience placementInterim roleWork at officeLocal areaRemote work$112.7k - $193.2k
...everyone. From advanced data analytics and AI to cybersecurity, we use... ...Employer & Individual (E&I) HEDIS Retrospective Operations and... ...regarding functional logic, quality measures, issue resolution, and... ...in a business, research, or consulting environment3+ years of Agile/...HEDISMinimum wageFull timeWork experience placementWork at officeLocal areaRemote work$159.3k - $273.2k
...Understand CMS required deadlines and quality requirements for Medicare... ...management, innovation, or consulting ~5+ years of health plan or... ...~ Proven solid analytical skills Preferred Qualifications... ...Knowledge of Medicare Stars, HEDIS, value-based care models, provider...HEDISMinimum wageFull timeWork experience placementLocal areaMonday to Friday$91.7k - $163.7k
...in Healthcare Effectiveness Data and Information Set (HEDIS) measures and clinical quality data, you will lead the architecture, transformation, and... ..., automated chart abstraction, quality measure analytics, and care gap identification. This role combines deep healthcare...HEDISMinimum wageFull timeWork experience placementLocal areaRemote work- ...Quality Consultant – Senior(with Big data) 360 IT Professionals is a Software Development Company based in Fremont, California that offers complete technology services in Mobile development, Web development, Cloud computing and IT staffing. Merging Information Technology...Work experience placement
$91.7k - $163.7k
...better for everyone. From advanced data analytics and AI to cybersecurity, we use innovative... ...Engineer to support Employer & Individual (E&I) HEDIS Retrospective data processing and cloud... ...solutions that enable healthcare quality reporting, operational excellence, and regulatory...HEDISMinimum wageFull timeWork experience placementWork at officeLocal areaRemote work- ...ERP, and BI implementations by providing proven and experienced consultants to our clients. Our competitive, transparent pricing model and... ...projects supported nationwide. Job Description Role: Quality Consultant Location: Eden Prairie, MN Duration: 6+ Months Contract...Contract workWork experience placement
- ...A leading software development firm is seeking a Senior Quality Consultant in Eden Prairie, Minnesota. Candidates should have extensive experience in testing with Hadoop technology, exceptional problem-solving skills, and familiarity with Health Care data. Responsibilities...
- ...UnitedHealth Group's Optum Insight is seeking a Director of Product on the Quality Optimization team to drive strategy and execution across NCQA Health Plan Ratings, CMS Stars, MSSP, and related quality programs. You will lead AI-enabled capabilities and oversee the product...HEDISWork at officeRemote work
$134.6k - $230.8k
...applications. As the Director of Product on the Quality Optimization team, part of the Value... ...in NCQA Health Plan Ratings (with HEDIS® at the core), CMS Stars, MSSP Performance... ...measurement across standard, configurable analytics, and integrated workflows to deliver consistent...HEDISRemote jobMinimum wageFull timeWork experience placementWork at officeLocal area- A national staffing firm is seeking a Quality Consultant for a 6+ month contract based in Eden Prairie, MN. The role involves managing the Error Queue Management System (EQMS) and requires experience with batch jobs, PLSQL Developer, and various data validation tools....Contract work
- UnitedHealth Group seeks a Director of Product on the Quality Optimization team within OptumInsight to drive strategy and execution for NCQA, CMS Stars, MSSP, and related quality programs. Remote work is possible nationwide with in-office requirements in Minneapolis or...HEDISWork at officeRemote work
- UnitedHealth Group seeks a Director of Product, Quality Optimization to drive strategy and execution across Hedis/Stars quality programs, with a focus on AI-enabled improvements and revenue growth. Remote work available across the U.S.; Minneapolis/DC office requirements...HEDISRemote jobWork at office
$72.8k - $130k
...help organizations reduce costs while improving risk management, quality and revenue growth. Ready to help us deliver results that... ...anticipates completion within approximately one yearDemonstrated solid analytical skills and attention to detail, including the ability to break...Minimum wageFull timeContract workWork experience placementWork at officeLocal areaRemote work$72.8k - $130k
...Quality Reporting Operations Team MemberAt UnitedHealthcare, we're simplifying the health... ...on-going business processes to support HEDIS® data reportingDemonstrate understanding... ...management, problem solving, organizational, and analytical skillsDemonstrated ability to manage and...HEDISMinimum wageFull timeWork experience placementWork at officeLocal areaRemote work- ...solutions that help Payers and Providers measurably improve the quality of care Based on regulatory requirements, client input, market assessment... ...exceed client expectations Serve as a subject matter expert on HEDIS, Stars and other quality management programs Must have...HEDIS
- ...Quality Reporting Operations Team MemberAt UnitedHealthcare, we're simplifying the health... ...monitor on-going business processes to support HEDIS® data reporting Monitor compliance... ...business process information (e.g., metrics; analytics) to identify key issues, trends, and...HEDISWork experience placementWork at officeLocal areaRemote work
$91.7k - $163.7k
...incorporating drug expertise Apply marketing/consultation techniques in promotion of national... ...Actively contribute to staff meetings, quality workgroups, client discussions, and... ...quality programs (i.e. CMS STAR Ratings, NCQA/HEDIS, PQA) Understanding of pay‑for‑...HEDISMinimum wageFull timeWork experience placementWork at officeLocal areaRemote work- ..., governance, and optimization of supplemental data sources for HEDIS, CMS, and audit programs. This remote-eligible role supports CST... ...position manages a team, drives process improvements, and ensures data quality and audit readiness while aligning with NCQA guidelines and #J-...HEDISRemote job
- ...optimization of clinical supplemental data sources across Commercial, Medicare and Medicaid reporting. You will drive data quality, audit readiness, and NCQA/HEDIS alignment while guiding cross-functional teams. The role emphasizes executive communication, risk mitigation, and...HEDISRemote job
$29 - $52 per hour
...identifying potential revenue opportunities Provide targeted education and follow-up audits for providers who do not meet established quality standards Perform ad hoc audits in response to client requests or identified concerns Educate coders and providers on audit...Hourly payMinimum wageFull timeWork experience placementLocal areaRemote work$112.7k - $193.2k
...healthier communities and removing barriers to quality care. The work you do here impacts the... ...for providing leadership and consultation for the evaluation, governance, and optimization... ..., Medicare, and Medicaid reporting for HEDIS, CMS, state regulatory requirements, and...HEDISMinimum wageFull timeWork experience placementLocal areaRemote work$83k
...Because becoming the undisputed leader in food means surrounding ourselves with people who are hungry for what's next. Food Safety & Quality Associate General Mills makes food the world loves. The company is guided by its Accelerate strategy to boldly build its brands,...Rotational programFull timeWork at officeLocal areaWork visaRelocation package- General Mills is seeking a Food Safety & Quality Associate to join an 18-24 month hands-on, front-line rotational program at manufacturing facilities nationwide. You will build expertise in food safety and quality, participate in risk assessment and process improvements...Rotational program
$25 - $28 per hour
At Apex International, we pride ourselves on being a high-quality manufacturer of over-the-counter personal care and household products. We create collaborative partnerships with customers ranging from global Fortune 100 companies to entrepreneurial start-ups. We are currently...Hourly payTemporary workWork at officeShift workDay shift
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